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Review
. 2015 Aug 4;4(3):240-3.
doi: 10.5492/wjccm.v4.i3.240.

Intensive care organisation: Should there be a separate intensive care unit for critically injured patients?

Tim K Timmers  1 , Michiel Hj Verhofstad  1 , Luke Ph Leenen  1
Affiliations
Review

Intensive care organisation: Should there be a separate intensive care unit for critically injured patients?

Tim K Timmers et al. World J Crit Care Med. .

Abstract

In the last two decennia, the mixed population general intensive care unit (ICU) with a "closed format" setting has gained in favour compared to the specialized critical care units with an "open format" setting. However, there are still questions whether surgical patients benefit from a general mixed ICU. Trauma is a significant cause of morbidity and mortality throughout the world. Major or severe trauma requiring immediate surgical intervention and/or intensive care treatment. The role and type of the ICU has received very little attention in the literature when analyzing outcomes from critical injuries. Severely injured patients require the years of experience in complex trauma care that only a surgery/trauma ICU can provide. Should a trauma center have the capability of a separate specialized ICU for trauma patients ("closed format") next to its standard general mixed ICU.

Keywords: Critical care; Intensive care medicine; Intensive trauma care; Trauma; Trauma intensive care.

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References

    1. Li TC, Phillips MC, Shaw L, Cook EF, Natanson C, Goldman L. On-site physician staffing in a community hospital intensive care unit. Impact on test and procedure use and on patient outcome. JAMA. 1984;252:2023–2027. - PubMed
    1. Brown JJ, Sullivan G. Effect on ICU mortality of a full-time critical care specialist. Chest. 1989;96:127–129. - PubMed
    1. Pronovost PJ, Jenckes MW, Dorman T, Garrett E, Breslow MJ, Rosenfeld BA, Lipsett PA, Bass E. Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. JAMA. 1999;281:1310–1317. - PubMed
    1. Ghorra S, Reinert SE, Cioffi W, Buczko G, Simms HH. Analysis of the effect of conversion from open to closed surgical intensive care unit. Ann Surg. 1999;229:163–171. - PMC - PubMed
    1. Hanson CW, Deutschman CS, Anderson HL, Reilly PM, Behringer EC, Schwab CW, Price J. Effects of an organized critical care service on outcomes and resource utilization: a cohort study. Crit Care Med. 1999;27:270–274. - PubMed

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